Company: Optum (UHG)

Payroll: JoulesToWatts

Process:Chat Support (Non-Voice)

Designation: Chat Support (Claims Processing)

Salary: 22000 CTC

Shift: US Shifts (Night Shift)

Transport: Two-way cab (within 30 km)

Overview

- To review, process, and resolve member and provider appeals in a timely and accurate manner,ensuring compliance with regulatory turnaround times This role is critical in maintaining service quality and upholding member rights within a high-pressure, time-sensitive environment.

Primary Responsibilities

- Accurately review and process appeals and grievances submitted by members or providers.
- Ensure all cases are resolved within regulatory and internal turnaround times, especially expedited appeals.

- Communicate effectively with internal departments, providers,



and members to gather necessary documentation and clarify case details.
- Maintain detailed and accurate documentation of all case activities in the system.
- Identify and escalate complex or sensitive cases to appropriate stakeholders.

- Always adhere to HIPAA and privacy regulations.
- Participate in quality audits and continuous improvement initiatives.
- Support peers and leadership in maintaining 24/7 operational coverage, including versatile week-offs and rotational shifts.

Must Have Skills
- Attention to the details to process
- Communication Skills.
- Good Typing Speed with quality

Contact Number: (phone hidden)

📌 Chat Support Executive (Hyderabad)
🏢 Joulestowatts
📍 Hyderabad